Golden Years Dog Sanctuary
12682 Kagel Canyon Road
Sylmar, CA 91342
818-636-1522 | goldenyearsdogsanctuary@yahoo.com
APPLICATION FOR VOLUNTEERING
Name:
*
First Name
Last Name
Age:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home phone:
Format: (000) 000-0000.
Work phone:
Format: (000) 000-0000.
Cell phone:
Format: (000) 000-0000.
Email:
*
example@example.com
How did you hear about us?
Person to contact in case of emergency:
First Name
Last Name
Relationship:
Phone:
Format: (000) 000-0000.
How would you describe your level of experience with dogs? (check all that apply)
Never had a dog
Had one or more dogs as an adult/child
Have experience with behavioral problems
Have experience with "bully" breeds
Have experience or are a dog trainer
Have experience in a veterinary hospital
Have previous foster experience
Have previous volunteer experience
Is your experience with (check all that apply):
Small
Medium
Large dogs
Why do you want to volunteer?
What do you want to do as a volunteer?
When are you available to volunteer?
What breeds have you owned/worked with?
Have you ever been investigated, arrested or convicted of animal neglect or cruelty?
Yes
No
If yes, explain:
If accepted as a Volunteer, you will need to sign a volunteer waiver and release form.
Signature of applicant:
*
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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